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Jason Kelly, MD
Diagnostic Radiology Physician in Spartanburg, South Carolina
NPI 1073543831

Jason Kelly is a Diagnostic Radiology Physician based in Dallas, SC and is specialized in Diagnostic Radiology. Jason Kelly practices in Spartanburg, SC and has the professional credentials of MD. The NPI Number for Jason Kelly is 1073543831 and holds a License No. 29694 (South Carolina).

The current practice location address for Jason Kelly is 101 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-6522 and via fax at 888-972-8644.

Location: 101 E Wood St, Spartanburg, SC, 75267-8207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073543831
Provider Name
Jason Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 E Wood St, Spartanburg, SC, 75267-8207
Phone Number
864-560-6522
Fax Number
888-972-8644
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
296940 05 SC
institution
Provider Business Practice Location Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6522
Fax Number
888-972-8644
person
Provider Business Mailing Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6522
Fax Number
888-972-8644
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
29694 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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